One Day High Velocity Low Amplitude Technique Course
Offered by the California Orthopedic Manual Therapy Special Interest Group of the CPTA
August 1, 2020
San Diego, CA
Davis Koh, DPT, MBA, GCS, CSCS
Nick Perkins, PT, DPT
The course will primarily consist of lab sessions with interspersed instructional components. There will be a review of evidence pertaining to HVLA, indications/contraindications to HVLA, a discussion of VBI/CAD testing, and concepts related to the model of spinal positioning and locking for HVLA. Specific techniques and strategies from osteopathic and Australian traditions will be presented. There will be ample time for practice and one on one attention.
Participants: Physical Therapists only
Instructor to Student Ratio: 1:12
Educational level: Intermediate/Advanced
COMPTSIG members - $180
APTA members - $210
- Non-APTA members - $300
- Student Member- $99
- Student Non-Member- $120
Upon completion of the course the participant will be able to:
*Describe the limitations of clinical VBI/CAD testing and perform the recommended screening procedure
*Discuss current best evidence relating to the indications/contraindications and use of high velocity low amplitude (HVLA) techniques for the spine and extremities
*Describe and demonstrate spinal positioning and locking used in cervical cervicothoracic, and lumbar HVLA techniques necessary to ensure patient comfort and safety while delivering an effective thrust
*Demonstrate enhanced proficiency and confidence in the delivery of HVLA techniques to the spine
Lecture will be approximately 2 hours and consist of:
Review of Indications/contraindications for HVLA
Current Theories on HVLA
Biomechanical vs non-biomechanical thrust direction
Cavitation vs non-cavitation thrust efficacies
Soft tissue treatment pre vs. post-HVLA technique
Theories on pre-thrust joint positioning
Lab portion will be approximately 6 hours and consist of:
Demonstration of various hand hold options for HVLA
Proper body mechanics for HVLA
Prone vs. supine vs. sitting vs. standing options
HVLA spine techniques by location:
Dr. Davis Koh, DPT, MBA, GCS, CSCS
Dr. Koh is a sports and orthopedic physical therapist with over 20 years of experience. He earned his B.S. degree in Physiological Sciences from the University of California at Los Angeles, as well as his Master and Doctorate degree in Physical Therapy from the University of Southern California. In 2007, Dr. Koh earned a Master in Business Administration from USC’s Marshall School of Business.
His extensive training over the years has included studying different treatment techniques originating from Russia, Norway, France, Great Britain, Italy, South America, Korea and Australia.
Dr. Koh has been invited as a guest speaker for various organizations such as the University of California- Irvine Dept. of Sports Medicine, Columbia University, Rice University, USC School of Physical Therapy, Sacred Heart University School of Physical Therapy, California Physical Therapy Association, New York Knicks NBA Team, New York Liberty WNBA Team, Jacksonville Jaguars NFL Team, multiple NSCA State Conferences, Naval Special Warfare PT Department, US Army Med Dept. – Fort Bragg, Elite Sports and Spine Expo, and COPA World Conference.
In addition to working with individual athletes from the NFL, NBA, WTA, AVP, LPGA, UFC, MLB, WCAA, Olympics, and Canadian National Track & Field Team, Dr. Koh has enjoyed being a member of various medical teams for organizations including the Ironman Triathlon World Championships, Association of Volleyball Professionals (AVP) Tour, BMX World Cup Pro Tour, VANs Pro Skateboarding and BMX Tour, and the Association of Surfing Professionals (ASP) Tour. Dr. Koh is proud to have served on medical teams at various U.S. Olympic Training Centers working with athletes from Team USA Weightlifting, USA Beach and Indoor Volleyball, USA Boxing, USA Gymnastics, and USA Tae Kwon Do. Dr. Koh was part of Team USA Medical Team for the Pan-American Games and the NCAA Tae Kwon Do Medical Team. Dr. Koh has served on medical teams for Team USA Volleyball, USA Weightlifting, USA Sailing, USA Bobsled & Skeleton, USA Cricket, and USA Track and Field. Dr. Koh has also worked on national & international tours for So You Think You Can Dance, Dancing with the Stars, Ringling Bros, Black Sabbath, Beyonce, and Carrie Underwood.
In addition, Dr. Koh has been a consultant and researcher for Sketchers, Inc., Taylor-Made Golf, Inc., NBA Head Trainers Association, US Olympic Sports Med Dept., Muscle-Aid Tape, Inc., and Aspen Medical Products, Inc. He has published various articles for national physical therapy publications such as Advance Magazine and In Motion Magazine.
Dr. Koh is recognized as one of the “Best Physical Therapists in Southern California” by KCAL9/KTLA5 Television Stations in Los Angeles.
-Over 20 years of experience in Sports & Orthopedic PT for athletes in NBA, NFL, NCAA, MLB, and Olympic Teams
-International Olympic Medical Team Provider
-Team USA Volleyball Medical Team Member
-Team USA Weightlifting Medical Team Member
-Team USA Bobsled & Skeleton Medical Team Member
- Team USA Sailing Medical Team Member
-AVP Pro Beach Volleyball Medical Team Member
-ASP Pro Surfing Medical Team Member
-Vans Pro Skateboarding Medical Team Member
-Certified Strength & Conditioning Specialist
-U.S. Government Expert Witness for Physical Therapy
-Speaker to PT Schools, Medical Schools, International PT Conferences worldwide
Nick Perkins, PT, DPT
Dr. Nick Perkins was born and raised in San Diego, CA. From a young age he was involved in multiple
sports, and eventually became a tri-sport varsity athlete during his High School years. Dr. Perkins was
also a youth sports coach where he promoted self-esteem and confidence through fitness at multiple
elementary and middle schools in San Diego. He earned his Bachelor of Science in Public Health Science
from the University of California Irvine.
Dr. Perkins received his Doctorate of Physical Therapy with high honors from the University of St.
Augustine in San Marcos, California. The University of St. Augustine’s comprehensive curriculum
provided him with a strong background in physical rehabilitation of various patient populations with an
emphasis in orthopedic and manual physical therapy. Dr. Perkins is also an instructor with KOH
Education for Instrument Assisted Soft Tissue Mobilization Techniques (IASTM) course. He is a medical
team member of Team USA weightlifting and the AVP Pro Beach volleyball tour.
Dr. Perkins continues to expand his practice by becoming certified in Graston Technique, IASTM L1 & L2
Expert Practitioner using Fibroblaster, Advanced Concepts in Kinesiology Taping, and Fascial
Manipulation® techniques. Dr. Perkins also completed continuing education coursework in Total Motion
Release Spinal Manipulation as well as a year-long Orthopedic Manual Therapy Seminar Series.
Following his passion for teaching Dr. Perkins became a Certified Clinical Instructor and has accepted
multiple Physical Therapy Students for clinical internships.
Dr. Perkins was selected as class representative for the Student Physical Therapy Association (SPTA), and
eventually took a leadership role as the SPTA Vice President, where he enjoyed copious opportunities to
volunteer and fund-raise for local and national physical therapy initiatives. Dr. Perkins, was also chosen
by his professors to be an anatomy tutor, and a Teaching Assistant for the Spinal Evaluation and
Manipulation course at the University of St. Augustine. He relished the opportunity to teach his
colleagues. Dr. Perkins, received certificates in the Evaluation and Treatment of the Cervical, Thoracic,
and Lumbar Spine, Lumbo-Pelvic-Hip Complex, Extremity Integration, and Myofascial Manipulation in his
final trimester. His clinical experiences allowed Dr. Perkins to treat a diverse patient population ranging
from dependent geriatrics to advanced athletes in both land based and aquatic settings.
Dr. Perkins current career goals are to continue his education with numerous other clinical
specializations. Dr. Perkins hopes to continue expanding his practice and integrate his passion for
athletics and fitness with his therapeutic interventions to bring out the inner athlete in all his patients.
- Team USA Weightlifting Medical Team Member
- AVP Pro Beach Volleyball Medical Team Member
- Assistant Instructor for IASTM L1 Practitioner course for KOH Education
- Certified IASTM L1 & L2 Expert Practitioner
- Certified Graston Technique provider
- Certified in Advanced Concepts in Kinesiology Taping technique
- Certified Total Motion Release Spinal Manipulation technique
- Certified Clinical Instructor
- Trained in Fasical Joint Pumping techniques
- Trained in Orthopedic Manual Therapy Seminar Series